Antineoplastic Drugs Extravasation: Notification and Delivered Care
Main Author: | |
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Publication Date: | 2001 |
Other Authors: | , , |
Format: | Article |
Language: | por |
Source: | Revista Brasileira de Cancerologia (Online) |
Download full: | https://rbc.inca.gov.br/index.php/revista/article/view/2322 |
Summary: | The present study, developed in the Adult Chemotherapy Outpatient Clinic of a teaching hospital located in the city of São Paulo, Brazil, was intended to: identify the incidence of cytostatic drug extravasation in patients assisted at this clinic between 1998 and 1999; verify the signs and symptoms presented by those patients following drug extravasation; and, analyse the type of care provided by the nursing personnel regarding the treatment of this adverse event. The study, a retrospective and descriptive investigation, used as the primary data source the records on those adverse events observed in the years of 1998/1999. It was concluded that during that time, the extravasation incidence was of 1.2% and 1.0% respectively, thus showing much lower proportions when compared to the maximum limits observed in the related literature. From the 82 patients affected by extravasation, 42 (51.2%) presented some signs and symptoms, the major ones being ardor (stinging), pain, and edema (swelling). As an undesirable effect one of the patients presented forearm scabes five days after vinblastin extravasation and had to be submitted to specialized treatment. The indication and application of hot dressings over the extravasation site were adequate to the type of infused drugs; among the 58 patients who were applied with cold dressings, two (3.4%) should have been treated with the hot ones. Those observations led to a careful review of the type of care to be provided and emphasized the need to improve the data recording method in order to support the evaluative process within this helath care facility. |
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Antineoplastic Drugs Extravasation: Notification and Delivered CareExtravasamento de Drogas Antineoplásicas: Notificação e Cuidados PrestadosEnfermagem OncológicaAvaliação de Processos e ResultadosAvaliação de DesempenhoOncologic NursingOutcome and Process AssessmentEmployee Performance AppraisalThe present study, developed in the Adult Chemotherapy Outpatient Clinic of a teaching hospital located in the city of São Paulo, Brazil, was intended to: identify the incidence of cytostatic drug extravasation in patients assisted at this clinic between 1998 and 1999; verify the signs and symptoms presented by those patients following drug extravasation; and, analyse the type of care provided by the nursing personnel regarding the treatment of this adverse event. The study, a retrospective and descriptive investigation, used as the primary data source the records on those adverse events observed in the years of 1998/1999. It was concluded that during that time, the extravasation incidence was of 1.2% and 1.0% respectively, thus showing much lower proportions when compared to the maximum limits observed in the related literature. From the 82 patients affected by extravasation, 42 (51.2%) presented some signs and symptoms, the major ones being ardor (stinging), pain, and edema (swelling). As an undesirable effect one of the patients presented forearm scabes five days after vinblastin extravasation and had to be submitted to specialized treatment. The indication and application of hot dressings over the extravasation site were adequate to the type of infused drugs; among the 58 patients who were applied with cold dressings, two (3.4%) should have been treated with the hot ones. Those observations led to a careful review of the type of care to be provided and emphasized the need to improve the data recording method in order to support the evaluative process within this helath care facility.Este estudo, desenvolvido no Ambulatório de Quimioterapia de Adultos de um hospital universitário da cidade de São Paulo teve por objetivos: identificar a incidência de extravasamentos de drogas citostáticas em pacientes atendidos nesse Ambulatório no período de 1998 e 1999; verificar os sinais e sintomas apresentados por estes pacientes após a ocorrência do extravasamentos dessas drogas; analisar os cuidados prestados pelo pessoal de enfermagem, visando o tratamento deste evento adverso. Trata-se de uma pesquisa descritiva retrospectiva que utilizou como fonte de dados primários os registros nas fichas de notificação desse evento adverso no biênio 1998/1999. Concluiu-se que nestes anos a incidência de extravasamento foi a de 1,2% e 1,0% respectivamente, proporções estas bem menores do que o limite máximo observado na literatura consultada. Dos 82 pacientes que sofreram extravasamento, 42 (51,2%) apresentaram sinais e sintomas, sendo os principais: ardor, dor e edema. Como efeito indesejável um paciente apresentou escaras no antebraço, cinco dias após o extravasamento da vinblastina, necessitando de tratamento especializado. A indicação e aplicação de compressas quentes no local do extravasamento, foram adequadas aos tipos de drogas infundidas e dentre os 58 pacientes que receberam compressas frias, em dois deveriam ser aplicadas compressas quentes (3,4%), implicando na revisão dos cuidados prestados. Identificou-se também a necessidade de melhoria dos registros para subsidiar o processo avaliativo nesse serviço de saúde.INCA2001-06-29info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos, Avaliado pelos paresapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/232210.32635/2176-9745.RBC.2001v47n2.2322Revista Brasileira de Cancerologia; Vol. 47 No. 2 (2001): Apr./May/June; 143-151Revista Brasileira de Cancerologia; Vol. 47 Núm. 2 (2001): abr./mayo/jun.; 143-151Revista Brasileira de Cancerologia; v. 47 n. 2 (2001): abr./maio/jun.; 143-1512176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporhttps://rbc.inca.gov.br/index.php/revista/article/view/2322/1450Adami , Nilce Piva Baptista, Alessandra Rodrigues Fonseca , Selma Montosa da Paiva , Débora Resende dos Santos info:eu-repo/semantics/openAccess2021-11-29T20:41:53Zoai:rbc.inca.gov.br:article/2322Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2021-11-29T20:41:53Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false |
dc.title.none.fl_str_mv |
Antineoplastic Drugs Extravasation: Notification and Delivered Care Extravasamento de Drogas Antineoplásicas: Notificação e Cuidados Prestados |
title |
Antineoplastic Drugs Extravasation: Notification and Delivered Care |
spellingShingle |
Antineoplastic Drugs Extravasation: Notification and Delivered Care Adami , Nilce Piva Enfermagem Oncológica Avaliação de Processos e Resultados Avaliação de Desempenho Oncologic Nursing Outcome and Process Assessment Employee Performance Appraisal |
title_short |
Antineoplastic Drugs Extravasation: Notification and Delivered Care |
title_full |
Antineoplastic Drugs Extravasation: Notification and Delivered Care |
title_fullStr |
Antineoplastic Drugs Extravasation: Notification and Delivered Care |
title_full_unstemmed |
Antineoplastic Drugs Extravasation: Notification and Delivered Care |
title_sort |
Antineoplastic Drugs Extravasation: Notification and Delivered Care |
author |
Adami , Nilce Piva |
author_facet |
Adami , Nilce Piva Baptista, Alessandra Rodrigues Fonseca , Selma Montosa da Paiva , Débora Resende dos Santos |
author_role |
author |
author2 |
Baptista, Alessandra Rodrigues Fonseca , Selma Montosa da Paiva , Débora Resende dos Santos |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Adami , Nilce Piva Baptista, Alessandra Rodrigues Fonseca , Selma Montosa da Paiva , Débora Resende dos Santos |
dc.subject.por.fl_str_mv |
Enfermagem Oncológica Avaliação de Processos e Resultados Avaliação de Desempenho Oncologic Nursing Outcome and Process Assessment Employee Performance Appraisal |
topic |
Enfermagem Oncológica Avaliação de Processos e Resultados Avaliação de Desempenho Oncologic Nursing Outcome and Process Assessment Employee Performance Appraisal |
description |
The present study, developed in the Adult Chemotherapy Outpatient Clinic of a teaching hospital located in the city of São Paulo, Brazil, was intended to: identify the incidence of cytostatic drug extravasation in patients assisted at this clinic between 1998 and 1999; verify the signs and symptoms presented by those patients following drug extravasation; and, analyse the type of care provided by the nursing personnel regarding the treatment of this adverse event. The study, a retrospective and descriptive investigation, used as the primary data source the records on those adverse events observed in the years of 1998/1999. It was concluded that during that time, the extravasation incidence was of 1.2% and 1.0% respectively, thus showing much lower proportions when compared to the maximum limits observed in the related literature. From the 82 patients affected by extravasation, 42 (51.2%) presented some signs and symptoms, the major ones being ardor (stinging), pain, and edema (swelling). As an undesirable effect one of the patients presented forearm scabes five days after vinblastin extravasation and had to be submitted to specialized treatment. The indication and application of hot dressings over the extravasation site were adequate to the type of infused drugs; among the 58 patients who were applied with cold dressings, two (3.4%) should have been treated with the hot ones. Those observations led to a careful review of the type of care to be provided and emphasized the need to improve the data recording method in order to support the evaluative process within this helath care facility. |
publishDate |
2001 |
dc.date.none.fl_str_mv |
2001-06-29 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Artigos, Avaliado pelos pares |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rbc.inca.gov.br/index.php/revista/article/view/2322 10.32635/2176-9745.RBC.2001v47n2.2322 |
url |
https://rbc.inca.gov.br/index.php/revista/article/view/2322 |
identifier_str_mv |
10.32635/2176-9745.RBC.2001v47n2.2322 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rbc.inca.gov.br/index.php/revista/article/view/2322/1450 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
dc.publisher.none.fl_str_mv |
INCA |
publisher.none.fl_str_mv |
INCA |
dc.source.none.fl_str_mv |
Revista Brasileira de Cancerologia; Vol. 47 No. 2 (2001): Apr./May/June; 143-151 Revista Brasileira de Cancerologia; Vol. 47 Núm. 2 (2001): abr./mayo/jun.; 143-151 Revista Brasileira de Cancerologia; v. 47 n. 2 (2001): abr./maio/jun.; 143-151 2176-9745 reponame:Revista Brasileira de Cancerologia (Online) instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) instacron:INCA |
instname_str |
Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) |
instacron_str |
INCA |
institution |
INCA |
reponame_str |
Revista Brasileira de Cancerologia (Online) |
collection |
Revista Brasileira de Cancerologia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) |
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rbc@inca.gov.br |
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1797042250131177472 |